Search Results (207)

Amid the increasing complexity of urban risks, urban parks not only serve ecological and recreational functions but are increasingly becoming a critical spatial foundation supporting public psychological resilience and social recovery. This study aims to systematically evaluate the daily adaptability of urban parks in the context of micro-risks. The research integrates the theories of “restorative environments,” environmental safety perception, urban resilience, and social ecology to construct a five-dimensional framework for perceived resilience, encompassing resilience, safety, sociability, controllability, and adaptability. Additionally, a dynamic feedback mechanism of perception–behavior–reperception is introduced. Methodologically, the study utilizes the Fuzzy Delphi Method (FDM) to identify 17 core indicators, constructs a causal structure and weighting system using DEMATEL-based ANP (DANP), and further employs the VIKOR model to simulate public preferences in a multi-criteria decision-making process. Taking three representative urban parks in Guangzhou as empirical case studies, the research identifies resilience and adaptability as key driving dimensions of the system. Factors such as environmental psychological resilience, functional diversity, and visual permeability show a significant path influence and priority intervention value. The empirical results further reveal significant spatial heterogeneity and group differences in the perceived resilience across ecological, neighborhood, and central park types, highlighting the importance of context-specific and user-adaptive strategies. The study finally proposes four optimization pathways, emphasizing the role of feedback mechanisms in enhancing urban park resilience and shaping “cognitive-friendly” spaces, providing a systematic modeling foundation and strategic reference for perception-driven urban public space optimization. Full article

Hip fractures are among the most serious health events in older adults, frequently leading to disability, loss of independence, and elevated mortality. In 2019, an estimated 9.6 million new cases occurred globally among adults aged ≥ 55 years, with an incidence rate of 681 per 100,000. Despite improved surgical care, one-year mortality remains high (15–30%), and fewer than half of survivors regain their pre-fracture functional status. Traditionally regarded as mechanical injuries, hip fractures are now increasingly recognized as systemic events reflecting and accelerating biological vulnerability and frailty progression. We synthesize evidence across biological, clinical, and social domains to explore the systemic implications of hip fracture, from the acute catabolic response and immune dysfunction to long-term functional decline. The concept of intrinsic capacity, introduced by the World Health Organization, offers a resilience-based framework to assess the multidimensional impact of hip fracture on physical, cognitive, and psychological function. We highlight the importance of orthogeriatric co-management, early surgical intervention, and integrated rehabilitation strategies tailored to the individual’s functional reserves and personal goals. Innovations such as digital health tools, biological aging biomarkers, and personalized surgical approaches represent promising avenues to enhance recovery and autonomy. Ultimately, we advocate for a shift toward interdisciplinary, capacity-oriented models of care that align with the goals of healthy aging and enable recovery that transcends survival, focusing instead on restoring function and quality of life. Full article

This study investigates the challenges and opportunities of balancing cultural preservation, tourism investment, and community resilience in historic Syrian cities during the post-war recovery period. The Syrian conflict has imposed considerable harm upon the nation’s cultural heritage, encompassing UNESCO World Heritage sites, thereby interrupting not only the urban infrastructure but also local economies and social networks. Utilizing a comprehensive methodology that includes a literature review, stakeholder interviews, and local surveys, this research investigates the potential for aligning cultural preservation with tourism investment to promote sustainable economic revitalization while simultaneously enhancing social cohesion and community resilience. The results underscore the significance of inclusive governance, participatory planning, and capacity enhancement to guarantee that post-conflict urban redevelopment fosters enduring environmental, social, and cultural sustainability. By framing the Syrian case within the broader context of global urban sustainability and resilience discourse, the study offers valuable insights for policymakers, urban planners, and heritage managers working in post-conflict or post-disaster environments worldwide. In the end, the study highlights that the revitalization of historic cities transcends being a simple technical or economic endeavor; it is a complex process of re-establishing identity, strengthening communities, and fostering sustainable, resilient urban futures. Full article

Emergency displacement has become an increasingly salient global phenomenon, precipitated by the intensification of climate crises and persistent geopolitical conflicts. These events forcibly displace millions each year and generate complex social, political, and institutional challenges. While the literature on displacement is expanding, much of it centers on individual and household experiences, often overlooking the collective dimensions of displacement. This article addresses this gap by critically examining the concept of the displaced community, a term used to describe collectivities formed in host societies comprising individuals who have been forcibly uprooted. The article undertakes a conceptual investigation of displaced communities, seeking to define their constitutive features while accounting for their internal heterogeneity and contextual variability. To sharpen analytical clarity, the study contrasts displaced communities with healthy communities, thereby situating two polar ends of a continuum. Based on these two types of community, the question arises, “can displaced communities be healthy communities?” The article advances a conceptual model of a healthy displaced community, positing that such a construct extends conventional understandings of resilience by foregrounding the processual dynamics of recovery and adaptation. Specifically, it is argued that community health in contexts of forced displacement must be understood as the outcome of iterative processes intentionally involving community-based intervention, empowerment, and long-term sustainability. Drawing on published case studies and empirical accounts of work with displaced populations, the article demonstrates how these three pillars—community intervention, empowerment, and sustainability—are implemented in practice. It concludes with policy and practice recommendations designed to prevent further deterioration and promote the development of health and well-being within displaced communities. Full article

This study, taking Anhui Province as a case study, systematically evaluated the spatiotemporal differentiation characteristics of six ecosystem services (biodiversity maintenance, water yield, carbon fixation, vegetation net primary productivity (NPP), soil retention, and crop production) from 2000 to 2020 through the integration of multi-stakeholder decision-making preferences and the Marxan model. Four conservation scenarios (ecological security priority, social benefit orientation, minimum cost constraint, and balance synergy) were established to explore the spatial optimization pathways of ecological protection zones under differentiated policy objectives. The findings indicated that: (1) The ecosystem services in Anhui Province exhibited a “low north and high south” spatial gradient, with significant synergies observed in natural ecosystem services in the southern Anhui mountainous areas, while the northern Anhui agricultural areas were subjected to significant trade-offs due to intensive development. (2) High service provision in the southern Anhui mountainous areas was maintained by topographic barriers and forest protection policies (significant NPP improvement zones accounted for 50.125%), whereas soil–water services degradation in the northern Anhui plains was caused by agricultural intensification and groundwater overexploitation (slight soil retention degradation covered 24.505%, and water yield degradation areas reached 29.766%). Urbanization demonstrated a double-edged sword effect—the expansion of the Hefei metropolitan area triggered suburban biodiversity degradation (significant degradation patches occupied 0.0758%), while ecological restoration projects promoted mountain NPP growth, highlighting the necessity of synergizing natural recovery and artificial interventions. (3) Multi-scenario planning revealed that the spatial congruence between the ecological security priority scenario and traditional ecological protection redlines reached 46.57%, whereas the social benefit scenario achieved only 12.13%, exposing the inadequate responsiveness of the current conservation framework to service demands in densely populated areas. This research validated the technical superiority of multi-objective systematic planning in reconciling ecological protection and development conflicts, providing scientific support for optimizing ecological security patterns in the Yangtze River Delta region. Full article

Bridges are fundamental components of transportation infrastructure, facilitating the efficient movement of people and goods. However, the conservation of heritage bridges introduces additional challenges, encompassing environmental, social, cultural, and economic dimensions of sustainability. This study investigates risk mitigation strategies for a heritage-listed, 120-year-old reinforced concrete bridge in Australia—one of the nation’s earliest examples of reinforced concrete construction, which remains operational today. The structure faces multiple risks, including passage of overweight vehicles, environmental degradation, progressive crack development due to traffic loading, and potential foundation scouring from an adjacent stream. Due to the heritage status and associated legal constraints, only non-invasive testing methods were employed. Ambient vibration testing was conducted to identify the bridge’s dynamic characteristics under normal traffic conditions, complemented by non-contact displacement monitoring using laser distance sensors. A digital twin structural model was subsequently developed and validated against field data. This model enabled the execution of various “what-if” simulations, including passage of overweight vehicles and loss of foundation due to scouring, providing quantitative assessments of potential risk scenarios. Drawing on insights gained from the case study, the article proposes a six-phase Incident Response Framework tailored for heritage bridge management. This comprehensive framework incorporates remote sensing technologies for incident detection, digital twin-based structural assessment, damage containment and mitigation protocols, recovery planning, and documentation to prevent recurrence—thus supporting the long-term preservation and functionality of heritage bridge assets. Full article

Background: Adolescents are at a critical developmental stage marked by rapid cognitive, emotional, and social changes, making them highly susceptible to mental health issues. Recently, digital health interventions (DHIs) have emerged as innovative and scalable tools for promoting mental well-being in this population. Methods: This integrative review was conducted based on comprehensive literature searches of major academic databases, including PubMed, Scopus, Web of Science, and PsycINFO. Studies published between January 2010 and December 2024 were identified using keywords such as “adolescent mental health,” “digital health intervention,” “behavior change model,” “e-health,” “mobile mental health,” and “digital therapeutics.” The inclusion criteria comprised peer-reviewed studies on digital mental health interventions for adolescents that applied, fully or partially, a behavior change approach. Studies targeting adults, interventions without digital technology, the gray literature, and duplicate publications were excluded. Results: We examined intervention strategies based on developmental stage prevention, early intervention, and recovery and highlighted key digital components such as accessibility, anonymity, personalization, and continuous monitoring. Furthermore, we analyzed case studies from various countries, including Korea, the United Kingdom, Australia, and Japan, to identify best practices and contextual challenges. Conclusions: DHIs rooted in sound psychological theory and ethical design can complement school- and community-based interventions by offering effective personalized support. The practical implications and future directions are discussed. Full article

Municipal solid waste (MSW) is rising globally, and improper management harms the environment and public health. As a result, there is heightened interest in finding effective solutions, and identifying research trends helps determine the best management and valorization pathways. However, the existing reviews often focus narrowly on specific technologies or regional case studies, lacking a comprehensive analysis of global research trends. This study addresses this significant gap by conducting a large-scale trend analysis based on 15,646 relevant articles screened from 25,068 Scopus-indexed publications from 1904 to 2023 using title, abstract, and keyword analysis. Literature-based comparative assessments were conducted to critically evaluate the pathways through TEE (techno-economic and environmental), SWOT (strengths, weaknesses, opportunities, and threats), and PESTEL (political, economic, social, technological, environmental, and legal) frameworks. Since 1990, article publication has increased by about 10% annually, consistently concentrating on thermochemical conversion and, more recently, on sustainability and circular economy perspectives. Seven distinct pathways for MSW management were identified, with recycling and material recovery, followed by thermochemical conversion for high-calorific waste and biochemical conversion for high-organic waste, showing the most promise. The findings aim to help researchers understand MSW research trends and assist planners in identifying effective management and valorization strategies. Full article

The transition toward sustainability in the construction industry requires integrated tools that align with circular economy principles. This study introduces the Interactive Stakeholder Journey Map in Construction (ISJMC), an innovative visual and systemic tool that supports waste management and circularity throughout the life cycle of construction assets. Although the sector is economically significant, it remains one of the main contributors to environmental degradation due to high resource consumption and low waste recovery rates. Developed according to EN 15643-3:2012, a European standard that provides a framework for assessing the social sustainability of construction works, focusing on aspects such as accessibility, health, and comfort and grounded in the Design Thinking methodology, ISJMC enables mapping stakeholder interactions, touchpoints, and responsibilities across all life cycle stages, including initiative, design, procurement, construction, use, and end of life. A systematic literature review and collaborative workshops guided the tool’s development and validation. The application in a real case involving a medium-sized Brazilian construction company helped identify significant pain points and opportunities for implementing circular practices. The results demonstrate that ISJMC (i) facilitates a systemic and visual understanding of material and information flows, (ii) promotes transparent mapping of resource value to support better decision-making, and (iii) encourages the identification of circularity opportunities while fostering collaboration among stakeholders. The tool revealed critical challenges related to waste generation and management. It supported co-creating sustainable strategies, including improved material selection, lean construction practices, and stronger supplier engagement. By translating complex standards into accessible visual formats, ISJMC contributes to the academic field, supports practical applications, and offers a foundation for expanding circular approaches in construction projects. Full article

The widespread practice of deliberate human displacement for biodiversity conservation remains a contentious issue in the Anthropocene era. This study explores the ecological impacts of conservation-led resettlement (ER) in Nepal’s Terai Arc Landscape (TAL), a biodiverse region under significant conservation and development pressures. Although ER aims to enhance ecological integrity, the role of displacement in conservation has been understudied. Using case studies from the TAL, we examined ecological indicators in vacated settlement areas within parks and newly resettled sites outside protected zones. Data were collected through a review of secondary literature, 240 household interviews, 5 focus group discussions, 25 key informant interviews, and multiple field visits across resettlement sites. Between 1973 and 2019, TAL gained 922.52 sq. km of core protected areas (displacing over 4800 households) and dispossessed communities from 2120.12 sq. km of buffer zones, significantly expanding protected areas and upgrading conservation standards from IUCN category IV to II. This contributed to the recovery of key species such as tigers, rhinos, and elephants. However, resettlements, often located along critical biological corridors and buffer zones, led to habitat fragmentation, endangering the gene pool flow and creating isolated habitats. Results show that, in general, most ecosystem and environmental variables were perceived significantly different (p < 0.05) among resettled communities in the study area. The cultural and land-based attachments of displaced communities were overlooked. These findings highlight the risks of short-term resettlement planning, which can exacerbate pressures on critical corridors, escalate human–wildlife conflicts, and provide a clear indication of the trade-off between conservation benefits and social costs. Full article

Early readmission to psychiatric units poses a significant challenge for both patients and healthcare institutions. It hampers patient progress and prognosis, and the professional approach taken during discharge can greatly influence the recovery process. This paper proposes a multicomponent discharge transition intervention to mitigate the risk of early readmission to a mental health hospitalization unit (MHHU). The present proposal consists of two distinct phases with two clearly differentiated main objectives. On the one hand, following an observational design, the development of a measurement instrument to assess patients’ risk of early readmission, allowing for stratification into the high-, medium-, and low-risk categories. On the other hand, according to a quasi-experimental design, the implementation and evaluation of the intervention program, with a focus on tailored interventions to ensure adherence and continuity of care post-discharge, with a more intensive approach for high-risk patients. A post-discharge psychotherapeutic group will also be introduced for high-risk cases to support recovery. The program’s effectiveness will be evaluated by comparing the early readmission rates at the Regional Hospital of Malaga’s MHHU to those of the previous year. Two other hospitals in the province, where the intervention is not applied, will serve as control groups. Success will also be measured through pre- and post-assessments of the recovery, functionality, subjective well-being, social support, and treatment satisfaction of those participating in the psychotherapeutic group. This proposal aims to address the issue of early readmission by enhancing predictability and understanding intervention strategies to reduce readmission rates. Full article

Many developed countries face an increasing crisis of waste management, especially regarding inadequate disposal capacities and insufficient systems for waste sorting and recovery. These insufficiencies harmfully affect environmental quality, human health, and overall urban life. Waste management is largely linked with disposal, collection, and recycling. Instead of being a critical public utility, solid waste management often goes unnoticed—until it fails. The complete system failure can escalate into a global crisis. Italy presents a critical case to evaluate waste management’s role in achieving Sustainable Development Goals, given the diversity of the country and its adherence to strict EU regulations. The country has taken important steps to adopt the principles of the circular economy, mainly through recycling and waste-to-energy initiatives. The Sustainable Development Goals are also linked to waste management, and there are specific goals with targets and indicators that focus on waste management outcomes. This paper has assessed the national achievement of Italy in waste management concerning the SDGs. SDGs 6, 7, 11, and 12, with a specific focus on the targets impacted by integrated waste management in Italy, are the focus of this paper, and the achievement of waste indicators under SDGs 6, 7, 11, and 12 is analyzed. The paper also assesses the relationship between social, economic, and geographical variables in the achievement of the mentioned SDGs, and also the impacts of the social, economic, and geographical contexts of inhabitants on the achievements of the SDGs. The paper has utilized the national dataset on SDGs and available data on socio-economic and geographic variables. The paper applied descriptive statistics, Pearson’s Correlation, Partial Least Square Regression (PLSR), and Elastic Net Regression, emphasizing the relationship between the waste indicators of SDGs and social, economic, and geographical factors. The paper resulted in a significant association between the outcomes of waste management indicators of SDGs and demographic variables. Full article

This article examines Chile’s post-disaster data collection and management, focusing on state legibility tools for identifying housing damage and victims’ needs. Drawing on James Scott’s theory of legibility, we explore how standardized categories are used in disaster management. Through documentary analysis and key informant interviews, we assess the strengths and limitations of the forms used for allocating aid. The 2022 Viña del Mar wildland–urban interface fire serves as a case study to illustrate how classification systems determine victim status, influencing government resource allocation. We show that Chile has made significant progress in loss and needs assessment after disasters but gaps remain in data integration and intersectoral collaboration. Three main themes emerge from the analysis: actor coordination, social legitimacy, and administrative blindness. We conclude that while legibility tools facilitate state action, they also obscure the complexities of disasters. This case study provides further evidence that disparities in aid distribution hinder recovery efforts and that for many victims, disaster aid has been both insufficient and delayed. We provide recommendations to address these challenges and strengthen disaster risk management policies in Chile and other countries facing similar challenges. Full article

Reducing total waste generation, increasing the rate of separate collection, and ensuring efficient material recovery are three key objectives recognized at the UN, EU, and national levels for achieving a sustainable waste management system. The policy and scientific debate has traditionally been polarized around two main collection systems: door-to-door and street collection, each with its own strengths and weaknesses. However, in recent years, hybrid waste collection models, which aim to integrate the advantages of both systems, have gained increasing attention. The impact of these models on sustainability, as well as the social mechanisms underlying their success or failure, remain underexplored. This paper analyzes a case study of a hybrid waste collection innovation implemented in eight small and medium-sized municipalities in Piedmont, Italy. The study has a twofold objective: (1) assessing the economic and environmental impacts of the system and (2) hypothesizing the social mechanisms that generate these effects. To address these research gaps, we develop a theoretical framework that combines the socio-technical system approach with analytical sociology. The framework is then operationalized through a quasi-experimental research design, which allows us to measure the effects of the hybrid innovation on a set of 17 indicators. The analysis is conducted by comparing the treated municipalities with a control group selected for its similarity. Empirical evidence reveals an unexpected and partially contradictory outcome: while the total amount of waste decreases, this reduction is not offset by a proportional increase in separate collection rates. Moreover, the quality of waste separation worsens. To explain this emerging pattern, we formulate a set of hypotheses—grounded in our theoretical framework—on the key factors influencing individual behavioral responses. Our provisional conclusion, which requires further qualitative validation, suggests that the interplay between economic incentives and social control in a context of imperfect awareness leads to ambiguous effects of hybridization in waste collection systems. Full article

Using Dungeons & Dragons (D&D) as a therapeutic tool is more feasible than previously thought. While role-playing games (RPGs) have existed for decades, their application in therapy can be challenging for those unfamiliar with tabletop gaming. This article explores the history of D&D, its therapeutic applications, and case studies of five individuals (ages 7–19) using RPGs addressing anxiety, depression, Dissociative Identity Disorder (DID), and nightmares. It also examines group therapy settings for individuals with Autism Spectrum Disorder (ASD), LGBTQ adolescents exploring identity, and women in residential treatment for substance use and trauma recovery. Each case study highlights both the successes and challenges of integrating RPGs into therapy, demonstrating how D&D fosters social skills, identity exploration, trauma recovery, and emotional growth. The findings suggest that RPGs are flexible and effective tools for addressing diverse mental health concerns by encouraging emotional exploration and personal development. While the results are promising, further research is needed to assess the long-term impact of RPGs in therapy and their broader clinical applications. Expanding this research could solidify D&D’s role as a valuable therapeutic intervention across various mental health settings. Full article